CHUCKANUT PROPERTY MANAGEMENT
2100 IRON ST.
BELLINGHAM, WA. 98225
PHONE (360) 733-3640
FAX (360) 647-0526
RENTAL APPLICATION
DATE:____________
NOTICE: Co-applicant must complete a separate rental application form.
The undersigned hereby makes application to rent the unit located at:_____________________________
beginning on_______ 20_____, at a monthly rental amount of $___________.
PLEASE TELL US ABOUT YOURSELF
FULL NAME____________________________________________ Phone(____)_____-________
Date of birth_______-______-______ Social Security No._______-_______-________
Name of Co-Applicant_______________________________________________________________
Spouse's date of birth______-_______-______Spouse's Social Security No._____-______-_______
Number of Dependents (excluding Co Applicant)___________________
Name and Age of Dependents_______________________________________________________
Other Occupants_________________________________________________________________
Pets (Number and Kind)____________________________________________________________
PLEASE GIVE YOUR RESIDENCE HISTORY (beginning with most current)
CURRENT ADDRESS
__________________________________________________________________________________
City______________________________________State_____________ Zip_____________________
Month and Year Moved in__________________________ Rent $_____________________________
Reason for leaving________________________________________________________________
Owner or Agent_______________________________________ Phone #___________________
PREVIOUS ADDRESS (If within 3 years)
___________________________________________________________________________________
City___________________________________________ State_______________Zip_______________
Month and Year Moved In_____________________ Moved Out_______________________
Rent $_______________________ Reason for leaving_______________________________
Owner or Agent________________________________ Phone #___________________________
PLEASE GIVE YOUR EMPLOYMENT INFORMATION
Employed Full-Time______Employed Part-Time________ Student______ Retired_______Unemployed_________
CURRENT EMPLOYER
Company Name___________________________________________________________________
Business Phone__________________________ Position_____________________________
How long employed____________________ Supervisor_____________________________
Salary $__________ per_________.
SPOUSE EMPLOYER
Company Name____________________________________________________________________
Business Phone_________________________ Position_____________________________
How long employed_____________________ Supervisor____________________________
Salary $__________ per_________.
OTHER INCOME NOT RELATED TO EMPLOYMENT (i.e.: SSI, Child Support, Financial Aid)
Source_____________________________________Amount__________per________
PREVIOUS EMPLOYER (if less than 1 year)
Company Name_____________________________________________________________________
Business Phone_____________________________________________________________________
Position___________________________How long employed___________________________
Supervisor________________________________Salary $__________per_________
OTHER INFORMATION
Please give us your vehicle(s) make/model/color/license
____________________________________________________________________________________
Please give us your driver's license number______________________________________________
Please give us spouses driver's license number____________________________________________
Are you or your spouse a smoker?__________________________________________________
Credit Cards (name only) Average Monthly Payment
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Car Payment___________________________________________________
Other_________________________________________________________
HAVE YOU EVER:
Filed for bankruptcy? € No € Yes
Been evicted from tenancy? € No € Yes
Been convicted of a misdemeanor or felony? € No € Yes
Parents or Closest Relative (For Emergency Purposes)
Name___________________________________Phone Number_______________
Spouse's Parent or Closest Relative
Name___________________________________Phone Number_______________
Please give any additional information which might help management evaluate this application:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews, neighbors, friends, and others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living, and credit worthiness. My employer(s) will also be contacted regarding my employment history as well as current salary verification. I understand that I may have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation.
You have the right to dispute the accuracy of information contained in the report. You may have additional rights under both State and Federal Law.
The above information, to the best of my knowledge, is true and correct.
Signature of Applicant_________________________________________________________________________
_________________________________________________________________________________
Date Signed________________________________________